Proforma VII

PROFORMA FOR SUBMISSION OF APPLICATION FOR TRAVEL SUPPORT

FOR ATTENDING INTERNATIONAL CONFERENCES ABROAD

(2 Copies to be submitted)

1. ABOUT THE SCHEME

Proposals are invited under the scheme titled Programme Support for North East Institutions for Conferences and Workshops in Biotechnology and for Travel Support to Attend Conferences Abroad for financial assistance from faculty members / PhD students involved in programmes/projects for participation in international conferences relevant to their areas of interests. The scheme provides upto full reimbursement of the actual return air fare in economy / excursion class by Air India to applicants from the place of work in the North East India to the venue of the conference and other costs. The event should be of international nature sponsored by foreign governments, international organizations or institutions under the aegis of multilateral, regional or bilateral arrangements.

2. ELIGIBILITY

1. 
   Applicant should be an active scientist engaged in research and development from the background :Biotechnology and its allied subjects only.
   
2. 
   The scientists should not have availed of financial assistance in the last three financial years.
   
3. 
   Scientist should have an accepted paper for presentation as a single or lead author or as a keynote speaker.
   

3. ENCLOSURES

The following documents will be required to be submitted along with the prescribed application.

1. 
   One copy of the completed application in the prescribed format and bio-data.
   
2. 
   Letter of Invitation from organizers giving particulars such as acceptance of paper for an oral presentation or as a keynote speaker.
   
3. 
   Details of the announcement of the conference (Please attach photocopy of the announcement).
   
4. 
   Abstract of the paper accepted for presentation along with the letter of its acceptance by the organizers.
   
5. 
   A copy of letter regarding commitment from any other national or international agency for any financial assistance, full or partial for travel, registration, per diem etc.
   

4. RELEASE OF GRANT

Upon selection, a sanction letter will be issued indicating the amount of the grant. The sanctioned amount subject to actuals will be released to the scientist only on his/her return to India after participation in the conference and on submitting a detailed report with proof of participation, vouchers for the expenditure incurred, and air travel tickets with boarding pass within one month from the date of conference.

5. APPLICATION

The application completed in all respects together with documents as indicated at para 3 above must reach the undersigned at least 12 weeks prior to the commencement of the conference duly forwarded by the Head of the Institution. Application not received in time and not received through proper channel will not be considered.

Incomplete application shall be rejected.

NOTE : The air passages are to be booked directly on the National Carrier, i.e., Air India. EVEN TO PLACES WHERE AIR INDIA FLIGHTS DO NOT OPERATE, the passage is to be booked THROUGH AIR INDIA only. If the tickets cannot be booked through Air India, because Air India cannot provide tickets to the desired destination during the desired period, such a certificate should be obtained from Air India. In such a case, journey can be undertaken through any other Airlines, but the tickets are to be booked with the concerned Airline directly and not through any travel agent. The grant will be restricted to the following upper limits:

(a) Faculty members - ` 75,000

(b) PhD Students - ` 50,000
The application may be addressed to :

Dean of Faculty Affairs

Indian Institute of Technology Guwahati

Guwahati – 781039


APPLICATION PROFORMA FOR INTERNATIONAL TRAVEL SUPPORT FOR ATTENDING INTERNATIONAL CONFERENCES ABROAD

(A scheme sponsored by the Department of Biotechnology, Government of India, and implemented by Indian Institute of Technology Guwahati)

1. 
   Applicant’s name, designation and address including Fax/Telephone/e-mail
   

2. Age______________Gender____________Date of Birth: _______________________

3. Name, venue and date of the international
Conference and its organizers:

4. Discipline and broad area of the Conference, title of the research paper to be presented (copy to be attached):

5. Particulars of financial assistance the applicant is applying for/receiving from other sources towards travels, registration & per diem etc. for attending the Conference.

(i) Nature of the funding agency.

(ii) Sanctioned/committed amount (give particulars)
6. Total air-fare by shortest route in Excursion/Economy Class (both ways).

7. Grant requested towards air fare.

8. Details of financial assistance for travel availed from DST, CSIR, INSA, DBT for attending International Conferences/Seminars/Symposia/Workshops attended in the last three financial years, if any. (Attach separate sheet if necessary)

1. 
   Title of the Conferences/Seminars/Symposia/Workshops attended.
   

2. 
   Date
   
3. 
   Venue
   
4. 
   Funding Agency
   
5. 
   Amount received
   

9. Designation and address of authorized officer (Registrar/Finance Officer etc.) for receiving cheques/Demand Drafts

10. State clearly and briefly, the benefit (attach separate sheet, if necessary) to be derived by attending the Conference.

11. Any other information which you may like to furnish in support of your application.

DECLARATION :

I hereby declare that the information furnished above is correct and complete.

Signature of Applicant

Place:


Date:


Recommendation of the Head of the Institute/Department:
This is certified that Dr./Mr./Ms. ............................................................ will be allowed by this Institute to participate in the international conference referred to in this application.

If the travel assistance is approved and when the applicant submits the expenditure details related to the journey, the same will be forwarded to the funding agency for reimbursement.

This is also certified that the travel grant, if received from the funding agency, will be released to the participant within two weeks of receipt.

Signature and Official

Seal of forwarding authority

CHECK LIST

FOLLOWING DOCUMENTS ARE ENCLOSED (STRIKE OFF WHATEVER IS NOT

APPLICABLE)

1.	Prior acceptance of paper(s) at the Conference	Yes / No
2.	Copy of abstract of paper(s) accepted	Yes / No
3.	Certificate from Air India Indicating the cost of return air fare (Excursion/Economy class)	Yes / No
4.	Brochure/Announcement of the conference	Yes / No
5.	Technical programme of the Conference	Yes/ No

PROFORMA FOR BIO-DATA OF APPLICANT

1. 
   Name & Designation :_________________________________________
   
2. 
   Date of Birth_________________________________________________
   
3. 
   Institution___________________________________________________
   
4. 
   Whether belongs to SC/ST_____________________________________
   
5. 
   Academic Qualification (Bachelor’s Degree onwards) and Experience:
   

Degree	Year	Univ/Instt	Subject	Div.	Remarks
Positions held : From To Past Present
Research Experience (Particulars of current area of research)

6. 
   Award/Prize/Certificate etc., if any.
   

6. 
   Publications (Numbers only) (enclose list of papers published during the last three years)
   

Books	Research Papers	Reports	General Articles	Patents, others (Please specify)

Signature of the applicant